Each patient who enters a hospital with a diagnosis in one of the seven above-listed clinical areas and is eligible for at least one of the treatments for that condition will be counted in the denominator of that topic-specific ACM score. If a patient enters the hospital exhibiting more than one of the seven clinical conditions, the patient will only be counted as a denominator for the primary condition that caused admission to the hospital. If that patient receives all of the treatments for which they are eligible, they will be included in the numerator of the topic-specific ACM score; if they do not receive all of the treatments for which they are eligible, they will not be counted in the numerator of that topic-specific ACM score. At the end of the given time period, the number of patients that received all of the proper treatments for their clinical condition will be divided by the total number of patients entering the hospital with that condition (who were eligible at least one of the treatments). This will produce each topic-specific ACM score. The overall ACM score will add all of the "numerators" for the four clinical categories and divide that sum by the total number of patients entering the hospital that were eligible for at least one of the 32 treatments indicated in the measure.

*Starting in January 2014, three Heart Attack, one Pneumonia, and two Surgical Care measures were removed from the ACM score. Additionally, two Immunization, eight Stroke, and five Venous Thromboembolism measures were added to the ACM score, thereby increasing the total number of measures included in the ACM score to thirty-two. Prior to this date, twenty-three measures were included. Additional information regarding the calculation of historical ACM data is available here.

Measure: Total percentage of heart attack, heart failure, pneumonia, surgical care, stroke, venous thromboembolism, and at-risk patients who received all recommended treatments and preventive measures based on their clinical condition.

*The Hospitals quality measures reported on this website come from a variety of sources using several data collection processes and update schedules. While the PHCQA website contains the most recent publicly available information, the time periods represented by these data range from 6 to 24 months old. Caution should be used when drawing conclusions from these data as a Hospitals’s performance may have changed significantly since the data was collected and reported. The PHCQA recommends you contact the hospital directly to obtain the most recent performance data.